| NPI | 1780212241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 83801) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 69668) |
| 207Q00000X Family Medicine (Licence: MN 30786) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MN 69668) | |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2024-07-01 |