| NPI | 1487917159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 074322) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 074322) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2016-05-17 |