| NPI | 1790134633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX W2830) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX W2830) |
| 208M00000X Hospitalist (Licence: SC 39770) | |
| 207R00000X Internal Medicine (Licence: SC 39770) | |
| 207R00000X Internal Medicine (Licence: SC LL39770) | |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2026-03-23 |