| NPI | 1831751346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NE 33618) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 88499) |
| 207Q00000X Family Medicine (Licence: NE 8626) | |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2024-09-11 |