| NPI | 1528629920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 66363) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101274162) |
| 207Q00000X Family Medicine (Licence: TN 66363) | |
| 208M00000X Hospitalist (Licence: VA 0101274162) | |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2024-05-06 |