| NPI | 1326319088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: LA 323659) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA 323659) |
| 207Q00000X Family Medicine (Licence: MS 25763) | |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2022-06-28 |