| NPI | 1780020271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX R3054) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R3054) |
| Enumeration Date | 2013-05-11 |
| Last Update Date | 2021-10-12 |