| NPI | 1952468670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0095712) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM 94-199) |
| 208100000X Physical Medicine & Rehabilitation (Licence: NM 94-199) | |
| 208M00000X Hospitalist (Licence: NM 94-199) | |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2023-02-09 |