| NPI | 1679867352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101255713) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT199353) |
| 207Q00000X Family Medicine (Licence: TN 56623) | |
| 208M00000X Hospitalist (Licence: VA 0101255713) | |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2021-10-20 |