| NPI | 1003020504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N2740) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX N2740) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2016-07-05 |