| NPI | 1902252349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX S8743) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 08889222) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2025-01-24 |