| NPI | 1629384888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 54535) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL L3203R) |
| 207Q00000X Family Medicine (Licence: KY 46519) | |
| 207Q00000X Family Medicine (Licence: AZ 54535) | |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2022-07-18 |