| NPI | 1245526466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 85566) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME118350) |
| 208M00000X Hospitalist (Licence: FL ME118350) | |
| 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: FL ME118350) | |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2025-09-11 |