NPI | 1417539503 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 1019967) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: NH 33207) |
207Q00000X Family Medicine (Licence: NH 33207) | |
Enumeration Date | 2021-04-27 |
Last Update Date | 2024-08-14 |