| NPI | 1720460173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 319090) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60844924) |
| 207Q00000X Family Medicine (Licence: CA A148011) | |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2023-05-03 |