| NPI | 1720460173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 79789) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 319090) |
| 207Q00000X Family Medicine (Licence: WA MD60844924) | |
| 207Q00000X Family Medicine (Licence: CA A148011) | |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2025-01-28 |