| NPI | 1407057409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WV 28034) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 41594) |
| 208M00000X Hospitalist (Licence: TN 41594) | |
| 208M00000X Hospitalist (Licence: WV 20834) | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2018-03-02 |