| NPI | 1942520796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VT 042.0012666) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VT 0420012666) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2015-04-16 |