| NPI | 1669745030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL me116946) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A120006) |
| 207Q00000X Family Medicine (Licence: FL ME116946) | |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2017-05-25 |