| NPI | 1376707224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD60549183) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ND 12314) |
| 207Q00000X Family Medicine (Licence: MI 4301099770) | |
| 207Q00000X Family Medicine (Licence: WA MD60549183) | |
| 208M00000X Hospitalist (Licence: MI 4301099770) | |
| 208M00000X Hospitalist (Licence: ND 12314) | |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2018-12-07 |