| NPI | 1801907563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX L5357) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX L5357) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2016-02-09 |