| NPI | 1447343579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2013002876) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 04-30743) |
| 207Q00000X Family Medicine (Licence: MO 2013002876) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2023-05-30 |