| NPI | 1588741680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 35512) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 35512) |
| 207QG0300X Family Medicine Geriatric Medicine (Licence: TN 35512) | |
| 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: TN 35512) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2017-01-27 |