| NPI | 1811167042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 61361) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 58559) |
| 207Q00000X Family Medicine (Licence: KY 51996) | |
| 207Q00000X Family Medicine (Licence: FL ME102257) | |
| 207Q00000X Family Medicine (Licence: OH 35.135492) | |
| 207QA0505X Family Medicine, Adult Medicine (Licence: FL me1022257) | |
| 208M00000X Hospitalist (Licence: FL ME102257) | |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2021-08-11 |