| NPI | 1487055083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A152603) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A152603) |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2019-06-26 |