| NPI | 1730534959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080H0002X (Licence: TX T4428) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD467176) |
| 208000000X Pediatrics (Licence: TX T4428) | |
| 208D00000X General Practice (Licence: TX T4428) | |
| 208M00000X Hospitalist (Licence: DE C1-0013049) | |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2024-07-24 |