| NPI | 1003468984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ND 18066) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ND RL15848) |
| 208M00000X Hospitalist (Licence: ND 18066) | |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2022-10-17 |