| NPI | 1255866190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 41178) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AL 41178) |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2023-06-29 |