| NPI | 1780919654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 53671-020) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 53671-020) |
| Enumeration Date | 2009-10-12 |
| Last Update Date | 2015-11-04 |