| NPI | 1689880866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 54333-020) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 54333-020) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2017-07-11 |