| NPI | 1477716421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY R1566) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: UT 10197845-1205) |
| 208M00000X Hospitalist (Licence: IN 01074091A) | |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2019-01-17 |