| NPI | 1982147658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL MD.38494) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL L4404R) |
| 208M00000X Hospitalist (Licence: AL MD.38494) | |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2025-09-29 |