| NPI | 1851584544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2012-00171) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 45215) |
| 208M00000X Hospitalist (Licence: TN 45215) | |
| Enumeration Date | 2007-08-25 |
| Last Update Date | 2023-03-07 |