| NPI | 1508853086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AL 25175) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 00025175) |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2015-08-11 |