| NPI | 1891157228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T-2479) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX T-2479) |
| 207K00000X Allergy & Immunology (Licence: TX T-2479) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2022-06-21 |