| NPI | 1205803764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OR MD24290) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD24290) |
| 207Q00000X Family Medicine (Licence: MT 10862) | |
| 207Q00000X Family Medicine (Licence: WA MD 00047001) | |
| 207Q00000X Family Medicine (Licence: CA C53395) | |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2022-07-21 |