| NPI | 1922091669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101242711) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WV 20911) |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2024-08-01 |