| NPI | 1639579956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 077668) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 77668) |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2018-07-19 |