| NPI | 1033419551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX R0128) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX R0128) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: IL 036129162) | |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2023-11-30 |