| NPI | 1497250989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX T2035) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 62251) |
| 207Q00000X Family Medicine (Licence: TX T2035) | |
| 207Q00000X Family Medicine (Licence: MI EMC0003487) | |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2024-01-13 |