| NPI | 1619321148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO 62401) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 0062401) |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2021-06-07 |