| NPI | 1376905901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 325147) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS 25251) |
| 207Q00000X Family Medicine (Licence: MS 25251) | |
| 208M00000X Hospitalist (Licence: MS 25251) | |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2021-03-02 |