| NPI | 1235490871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OK 29388) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 29388) |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2016-09-15 |