NPI | 1790369049 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: TX V2127) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX V2127) |
208M00000X Hospitalist (Licence: TX V2127) | |
Enumeration Date | 2021-05-11 |
Last Update Date | 2025-06-26 |