| NPI | 1114946001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 28274) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 46535) |
| 207Q00000X Family Medicine (Licence: NC 2010-01579) | |
| 208M00000X Hospitalist (Licence: NC 2010-01579) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2025-10-04 |