| NPI | 1609230812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S1243) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX S1243) |
| 208D00000X General Practice (Licence: TX S1243) | |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2022-02-23 |