| NPI | 1235756602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AL 46600) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS T4165) |
| 207Q00000X Family Medicine (Licence: AL 46600) | |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2024-08-20 |