| NPI | 1245662139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM MD2023-1005) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 74825) |
| 208M00000X Hospitalist (Licence: WA MD61296182) | |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2023-07-14 |