| NPI | 1881957652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WV 27127) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125060818) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2022-01-25 |