| NPI | 1255628764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NM MD2014-0222) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 4124) |
| 207Q00000X Family Medicine (Licence: NM MD2014-0222) | |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2016-05-25 |