| NPI | 1982600763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX H9074) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 019205) |
| 208000000X Pediatrics (Licence: TX H9074) | |
| 208000000X Pediatrics (Licence: LA 019205) | |
| Enumeration Date | 2005-06-25 |
| Last Update Date | 2022-05-18 |