| NPI | 1194045575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2014-01218) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WV 2569) |
| 207Q00000X Family Medicine (Licence: NC 2014-01218) | |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2024-05-22 |