| NPI | 1265178958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AL 53743) |
| Additional Taxonomies | 208D00000X General Practice (Licence: TX U7302) |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2026-07-14 |