| NPI | 1932321809 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NE 27961)  | 
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 27961)  | 
| 207Q00000X Family Medicine (Licence: KY 41366)  | |
| 208M00000X Hospitalist (Licence: IA MD44267)  | |
| Enumeration Date | 2007-05-02 | 
| Last Update Date | 2018-03-17 |