| NPI | 1174106934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 36135) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NE 36135) |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2025-10-24 |