| NPI | 1013352087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2018-01023) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R1488) |
| 208000000X Pediatrics (Licence: NC 2018-01023) | |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2018-07-27 |