| NPI | 1639331929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101247266) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101247266) |
| 207PE0004X Emergency Medicine Emergency Medical Services (Licence: VA 0101247266) | |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2021-06-21 |