| NPI | 1205288578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2019-01607) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0102205317) |
| 207Q00000X Family Medicine (Licence: NC 249460) | |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2021-08-21 |