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 |