| NPI | 1134440035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS19473) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 006739) |
| 207Q00000X Family Medicine (Licence: MT 91303) | |
| 208M00000X Hospitalist (Licence: AZ 006739) | |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2024-07-29 |