| NPI | 1699295600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC LL40694) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: SC 40694) |
| 207R00000X Internal Medicine (Licence: SC 40694) | |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2024-07-11 |