| NPI | 1043203615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 27723) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: LA MD024835) |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2008-01-23 |