NPI | 1043420557 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101262910) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL L2753) |
207Q00000X Family Medicine (Licence: GA 063294) | |
207Q00000X Family Medicine (Licence: VA 0101262910) | |
Enumeration Date | 2007-05-23 |
Last Update Date | 2024-04-11 |