| NPI | 1710143128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 076812) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME134631) |
| 208M00000X Hospitalist (Licence: GA 076812) | |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2022-01-04 |