| NPI | 1588652366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 9701872) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 9701872) |
| 207Q00000X Family Medicine (Licence: SC 86851) | |
| 208M00000X Hospitalist (Licence: SC 86851) | |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2023-10-04 |