| NPI | 1467030353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 81388) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA 61519526) |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2025-10-23 |