| NPI | 1154981520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KY 55676) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 55676) |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2023-12-19 |