| NPI | 1023273745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101253565) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: MI 4301099900) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2016-12-06 |