| NPI | 1164954640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S5545) |
| 207RB0002X Internal Medicine, Bariatric Medicine (Licence: TX S5545) | |
| 208D00000X General Practice (Licence: TX S5545) | |
| 208M00000X Hospitalist (Licence: TX S5545) | |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2024-05-22 |