| NPI | 1780846071 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101246482) | 
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NH 17745) | 
| 208M00000X Hospitalist (Licence: WV 28684) | |
| 208M00000X Hospitalist (Licence: VA 0101246482) | |
| Enumeration Date | 2008-06-27 | 
| Last Update Date | 2024-05-06 |