| NPI | 1073219960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 06282) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA R-12671) |
| 208M00000X Hospitalist (Licence: KY 06282) | |
| Enumeration Date | 2023-02-02 |
| Last Update Date | 2026-04-13 |