| NPI | 1417577610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 76102) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 76102-20) |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2024-09-25 |