| NPI | 1285047142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2021048199) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60746395) |
| 207Q00000X Family Medicine (Licence: AZ 69730) | |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2024-12-30 |