NPI | 1104029453 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: TX N7661) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX N7661) |
208M00000X Hospitalist (Licence: MS 22321) | |
Enumeration Date | 2007-06-06 |
Last Update Date | 2016-05-09 |