| NPI | 1265646582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 320994) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2005-01479) |
| 207Q00000X Family Medicine (Licence: NC 121952) | |
| 208M00000X Hospitalist (Licence: NC 2005-01479) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-02-10 |