NPI | 1962717108 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME167409) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: IA MD-40557) |
207R00000X Internal Medicine (Licence: IA MD-40557) | |
Enumeration Date | 2010-08-12 |
Last Update Date | 2025-04-22 |