| NPI | 1568824100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX V5289) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX V5289) |
| 207Q00000X Family Medicine (Licence: GA 83477) | |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2025-07-23 |