| NPI | 1912423054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX T5515) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NE 32317) |
| 207Q00000X Family Medicine (Licence: NE 32317) | |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2023-03-14 |