| NPI | 1770013724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0010X Internal Medicine Sports Medicine (Licence: TX T9898) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 34038) |
| 208000000X Pediatrics (Licence: OK 34038) | |
| 208000000X Pediatrics (Licence: TX T9898) | |
| 207R00000X Internal Medicine (Licence: TX T9898) | |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2023-10-05 |