| NPI | 1376105304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ND 18522) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ND RL15834) |
| Enumeration Date | 2019-06-29 |
| Last Update Date | 2022-10-14 |