| NPI | 1992935597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P5639) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10034547) |
| 207R00000X Internal Medicine (Licence: TX BP10034547) | |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2021-04-16 |