| NPI | 1740280387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX H6473) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX h6473) |
| 208000000X Pediatrics (Licence: TX H6473) | |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2018-07-13 |