| NPI | 1962420406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 02970) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 1854) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2023-03-07 |