| NPI | 1417539503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 24393) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NH 33207) |
| 207Q00000X Family Medicine (Licence: NH 33207) | |
| 207Q00000X Family Medicine (Licence: MA 1019967) | |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2025-10-17 |