| NPI | 1902031545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 10364990-1205) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: UT XC3767704) |
| 207Q00000X Family Medicine (Licence: CA A121675) | |
| 208M00000X Hospitalist (Licence: UT 10364990-1205) | |
| 207Q00000X Family Medicine (Licence: FL ME108391) | |
| 207Q00000X Family Medicine (Licence: FL 13484) | |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2019-03-21 |