| NPI | 1982925202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 067438) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: GA 067438) |
| 207Q00000X Family Medicine (Licence: SC 34378) | |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2023-10-20 |