| NPI | 1770843450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX Q2496) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX Q2496) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10044778) | |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2022-01-26 |