| 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 |