| NPI | 1376765842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2011024757) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2011024757) |
| 207Q00000X Family Medicine (Licence: OK 26887) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2018-05-07 |