| NPI | 1962616789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2023-00260) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WV 23476) |
| 208M00000X Hospitalist (Licence: WV 23476) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2024-02-23 |