| NPI | 1053505131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 301539) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX N6177) |
| 207Q00000X Family Medicine (Licence: VA 0101243104) | |
| 208M00000X Hospitalist (Licence: VA 0101243104) | |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2025-06-20 |