| NPI | 1528142130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2013-01676) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: VA 0101244790) |
| 208M00000X Hospitalist (Licence: NC 2013-01676) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2018-12-19 |