| NPI | 1538690862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: NC 202302756) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 10957023-1205) |
| 208M00000X Hospitalist (Licence: UT 10957023-1205) | |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2025-07-31 |