| NPI | 1750877890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX T3293) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T3293) |
| 207R00000X Internal Medicine (Licence: SC LL52689) | |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2021-09-15 |