| NPI | 1578705620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA MD.206860) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: LA 206860) |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2021-06-09 |