| NPI | 1720031321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX m9027) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX m9027) |
| 207P00000X Emergency Medicine (Licence: NV 1209) | |
| 207Q00000X Family Medicine (Licence: NV 1209) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: TX m9027) | |
| 208M00000X Hospitalist (Licence: TX m9027) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2021-03-18 |