| NPI | 1902919293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 35307) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 35307) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2017-05-03 |