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 |