| NPI | 1245897065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 292032) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC LL82571) |
| 208M00000X Hospitalist (Licence: MA 292032) | |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2023-10-17 |