| NPI | 1306978580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WY 7748A) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WY 7748A) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2021-07-05 |