| NPI | 1326467424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX U1945) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35.131744) |
| 208M00000X Hospitalist (Licence: OH 35.131744) | |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2023-08-17 |