| NPI | 1659366391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OK 18140) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 18140) |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2018-02-01 |