| NPI | 1902332745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AL MD.38149) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: HI MD.22423) |
| 207Q00000X Family Medicine (Licence: GA 85140) | |
| 207Q00000X Family Medicine (Licence: CA A175163) | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2024-01-08 |