| NPI | 1952822728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 65524) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX S9063) |
| 207Q00000X Family Medicine (Licence: AZ 65524) | |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2024-09-25 |