| NPI | 1669636593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101246543) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11013214A) |
| 208M00000X Hospitalist (Licence: VA 0101246543) | |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2010-09-02 |