| NPI | 1972633857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX S5023) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A62848) |
| 207Q00000X Family Medicine (Licence: TX S5023) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2023-03-07 |