| NPI | 1053304634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 062948) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 56591) |
| 208M00000X Hospitalist (Licence: GA 062948) | |
| 208M00000X Hospitalist (Licence: MN 50763) | |
| 207P00000X Emergency Medicine (Licence: IL 036110254) | |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2022-09-21 |