| NPI | 1831453257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 300353) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS 849-L) |
| 208M00000X Hospitalist (Licence: LA 300353) | |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2023-07-03 |