| NPI | 1598145708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A156624) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301107853) |
| 207Q00000X Family Medicine (Licence: MI 5315071089) | |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2018-08-24 |