| NPI | 1851567556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: TX P6469) |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: MA 247291) |
| 208000000X Pediatrics (Licence: MA 247291) | |
| 207R00000X Internal Medicine (Licence: NC 141902) | |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: TX P6469) | |
| 207R00000X Internal Medicine (Licence: MA 247291) | |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2025-12-09 |