| NPI | 1972765014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 35311) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 67717) |
| 207Q00000X Family Medicine (Licence: SC TL35311) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: SC 35311) | |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2019-05-15 |