| NPI | 1760745988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NV 21554) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60544454) |
| 207Q00000X Family Medicine (Licence: NV 21554) | |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2024-10-30 |