| NPI | 1104803691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR DO19873) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OR DO19873) |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2020-07-08 |