| NPI | 1720474976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WY 28536) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WV 28536) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2022-08-24 |