| NPI | 1649475120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: UT 5756331-1205) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: UT 575633-1205) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2013-04-03 |