| NPI | 1053421354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 04-24741) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: KS 0424741) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2013-09-18 |