| NPI | 1053809343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 70936-20) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 70936-20) |
| 207Q00000X Family Medicine (Licence: AZ 60135) | |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2024-06-17 |