NPI | 1003109828 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA C140385) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2018000857) |
207Q00000X Family Medicine (Licence: NJ 25ma08886900) | |
208M00000X Hospitalist (Licence: MO 2018000857) | |
Enumeration Date | 2011-05-26 |
Last Update Date | 2024-05-16 |