| NPI | 1356626550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NV 18108) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: HI 18714) |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2019-03-05 |