| NPI | 1710249990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2015-00042) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2015-00042) |
| 208M00000X Hospitalist (Licence: NC 2015-00042) | |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2023-12-18 |