| NPI | 1124098116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 52895-20) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 52895-20) |
| 207Q00000X Family Medicine (Licence: MN 38926) | |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2014-01-30 |