| NPI | 1972549673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 44020) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M3582) |
| 208000000X Pediatrics (Licence: TX M3582) | |
| 208000000X Pediatrics (Licence: TN 44020) | |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2022-08-29 |