| NPI | 1871720482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VT 032.0095970) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AK 5247) |
| 208M00000X Hospitalist (Licence: VT 032.0095970) | |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2014-12-04 |