| NPI | 1740410067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: TX Q9587) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT195398) |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2020-08-10 |