| NPI | 1659750735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101283791) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301116313) |
| 207Q00000X Family Medicine (Licence: AK 134223) | |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2024-11-04 |