| NPI | 1295117539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WY 11152A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WY 064-T1) |
| 208M00000X Hospitalist (Licence: WY 11152A) | |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2022-11-04 |