| NPI | 1790006229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 7448) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: KS 36013) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2018-11-19 |