| NPI | 1437895463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NV 27873) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV 27873) |
| 207Q00000X Family Medicine (Licence: ID MRM-2158) | |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2025-09-09 |