| NPI | 1700446275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 90430) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 90430) |
| 207Q00000X Family Medicine (Licence: GA 11179) | |
| 207Q00000X Family Medicine (Licence: GA 90430) | |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2026-06-29 |