| NPI | 1164477659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: SC 85072) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: ME 017294) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2020-10-16 |