| NPI | 1952702995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 3761) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WV 3228) |
| 207Q00000X Family Medicine (Licence: WV 3228) | |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2019-09-27 |