| NPI | 1235549197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 007240) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA DO-05384) |
| 208D00000X General Practice (Licence: AZ 007240) | |
| 208M00000X Hospitalist (Licence: AZ 007240) | |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2021-03-25 |