| NPI | 1861723181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N4581) |
| Additional Taxonomies | 208D00000X General Practice (Licence: TX N4581) |
| 208M00000X Hospitalist (Licence: TX N4581) | |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2020-09-10 |