| NPI | 1063777282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CT 55726) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 55726) |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2017-05-03 |