| NPI | 1124442181 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 78610)  | 
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: GA 78610)  | 
| 208M00000X Hospitalist (Licence: GA 78610)  | |
| Enumeration Date | 2014-02-12 | 
| Last Update Date | 2024-06-06 |