| NPI | 1962814053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 54505) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AZ 54505) |
| Enumeration Date | 2014-05-23 |
| Last Update Date | 2019-11-25 |