| NPI | 1609038652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 40989) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: AZ az40989) |
| 207Q00000X Family Medicine (Licence: AZ 40989) | |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2017-01-06 |