| NPI | 1275762239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301113696) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MI 4301113696) |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2021-04-02 |