| NPI | 1174899355 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A13352) | 
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA 20A13352) | 
| Enumeration Date | 2012-04-01 | 
| Last Update Date | 2018-05-25 |