| NPI | 1912460833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 19806) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA 19806) |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2025-04-02 |