| NPI | 1164862793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101261141) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101261141) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2018-07-25 |