| NPI | 1336873520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX V9969) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS T-4852) |
| 207Q00000X Family Medicine (Licence: TX V9969) | |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2025-07-17 |