NPI | 1407353931 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX S7259) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: TX S7259) |
Enumeration Date | 2018-04-11 |
Last Update Date | 2025-08-18 |