| NPI | 1043665987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SD 11903) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MT MED-PHYS-LIC-91574) |
| 208M00000X Hospitalist (Licence: GU M-2317) | |
| 208M00000X Hospitalist (Licence: GU EMTL-2022-009) | |
| 207Q00000X Family Medicine (Licence: GU M-2317) | |
| 207Q00000X Family Medicine (Licence: GU EMTL-2022-009) | |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2023-04-03 |