| NPI | 1821357096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX Q5312) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX Q5312) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2019-12-10 |