| NPI | 1629464680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX R7707) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R7707) |
| 208D00000X General Practice (Licence: TX R7707) | |
| 208D00000X General Practice (Licence: CA A156786) | |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2024-01-17 |