| NPI | 1306227863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 38120) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC LL38120) |
| 207Q00000X Family Medicine (Licence: GA 080966) | |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2019-09-30 |