| NPI | 1104887553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO 29688) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 29688) |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2019-05-23 |