| NPI | 1932100328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 36136) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 36136) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2015-08-17 |