| NPI | 1790131472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID O-1273) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: ID O-1273) |
| 207Q00000X Family Medicine (Licence: OR DO218526) | |
| 208M00000X Hospitalist (Licence: OR DO218526) | |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2024-04-19 |