| NPI | 1285858522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2012-00551) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2012-00551) |
| 208000000X Pediatrics (Licence: NC 2012-00551) | |
| 207Q00000X Family Medicine (Licence: NC 2012-00551) | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2021-03-15 |