| NPI | 1376938639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WV 28590) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV 19505) |
| 207Q00000X Family Medicine (Licence: MA 264510) | |
| 208M00000X Hospitalist (Licence: NV 19505) | |
| 208M00000X Hospitalist (Licence: ME MD22451) | |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2022-12-21 |