| NPI | 1609225747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX U0693) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX U0693) |
| 207Q00000X Family Medicine (Licence: KS 04-43119) | |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2024-09-13 |