| NPI | 1912369018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: WV 3420) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WV 3420) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2023-07-05 |