| NPI | 1508120924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A149181) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A149181) |
| 207Q00000X Family Medicine (Licence: WA MD61221098) | |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2023-09-19 |