| NPI | 1922448315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MN 60144) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125.063576) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2017-11-01 |