NPI | 1104879899 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: ID M8664) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD61238314) |
207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: WA MD61238314) | |
208M00000X Hospitalist (Licence: WA MD61238314) | |
Enumeration Date | 2006-05-17 |
Last Update Date | 2021-12-22 |