| NPI | 1154012540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX W5439) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX W5439) |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2026-09-03 |