NPI | 1487852562 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: AR E-5445) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E-5445) |
207Q00000X Family Medicine (Licence: NC 2009-01271) | |
208M00000X Hospitalist (Licence: NC 2009-01271) | |
Enumeration Date | 2007-07-10 |
Last Update Date | 2024-07-10 |