NPI | 1164685111 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A133382) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL TRN12609) |
207Q00000X Family Medicine (Licence: FL ME108674) | |
208M00000X Hospitalist (Licence: FL ME108674) | |
Enumeration Date | 2008-07-09 |
Last Update Date | 2015-05-27 |