| NPI | 1184185845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 75936) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 79556) |
| 207Q00000X Family Medicine (Licence: WI 75936) | |
| 207Q00000X Family Medicine (Licence: ID 4771955) | |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2025-05-16 |