| NPI | 1891217105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA R10813) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 2020-04036) |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2022-10-31 |