| NPI | 1821388208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q7512) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL MD.32190) |
| 208000000X Pediatrics (Licence: TX Q7512) | |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2016-05-23 |