| NPI | 1356608152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 49229) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 49229) |
| 207Q00000X Family Medicine (Licence: AK 8359) | |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2023-05-25 |