| NPI | 1124645593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0102207955) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS T-4119) |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2024-04-11 |