| NPI | 1790971711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A108872) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A108872) |
| 207Q00000X Family Medicine (Licence: CA A108872) | |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2017-09-11 |