| NPI | 1952716573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MS 24038) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS 24038) |
| 207Q00000X Family Medicine (Licence: CA A141935) | |
| 208M00000X Hospitalist (Licence: MS 24038) | |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2019-06-28 |