| NPI | 1770727836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WV 24882) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WV 24882) |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2018-08-03 |