NPI | 1568873800 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX Q9336) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 05146) |
207Q00000X Family Medicine (Licence: CO 59022) | |
208M00000X Hospitalist (Licence: CO 59022) | |
Enumeration Date | 2014-05-08 |
Last Update Date | 2022-04-18 |