| NPI | 1104211168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0085227) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MD D0085227) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2018-08-13 |