| NPI | 1144961897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX V8780) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX V8780) |
| 208M00000X Hospitalist (Licence: TX V8780) | |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2026-03-18 |