| NPI | 1245673714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 74823) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 67341) |
| 207Q00000X Family Medicine (Licence: AL MD) | |
| 208M00000X Hospitalist (Licence: AL MD35400) | |
| 208M00000X Hospitalist (Licence: WI 67341) | |
| 208M00000X Hospitalist (Licence: AZ 74823) | |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2024-12-31 |