| NPI | 1265743397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60382871) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125057636) |
| 208M00000X Hospitalist (Licence: UT 1362895-1205) | |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2021-11-08 |