| NPI | 1194142562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 20A14247) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A14247) |
| 207QS0010X Family Medicine, Sports Medicine (Licence: CA 20A14247) | |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2020-01-02 |