| NPI | 1740861988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 77886) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 77886-20) |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2025-12-05 |