| NPI | 1073996948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN TN3378) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 3378) |
| 207Q00000X Family Medicine (Licence: VA 276-258-4435) | |
| 207Q00000X Family Medicine (Licence: VA 0102205311) | |
| 208M00000X Hospitalist (Licence: TN 3378) | |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2024-01-10 |