| NPI | 1235579251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CT 56065) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 56065) |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2017-08-11 |