NPI | 1033400353 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME120689) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: SC 92065) |
Enumeration Date | 2011-04-20 |
Last Update Date | 2024-09-23 |