| NPI | 1609220060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX S4182) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX S4182) |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2020-01-23 |