NPI | 1205273257 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MT 49680) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: MT MED-PHYS-LIC-49680) |
Enumeration Date | 2013-05-31 |
Last Update Date | 2024-10-21 |