| NPI | 1902822935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX K7702) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX K7702) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2011-05-17 |