| NPI | 1902161888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 50307) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX T1772) |
| 208M00000X Hospitalist (Licence: TX T1772) | |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2026-06-18 |