| NPI | 1790771582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 9801028) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101244832) |
| 208M00000X Hospitalist (Licence: VA 0101244832) | |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2018-02-05 |