| NPI | 1992921217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WV 23020) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WV 23020) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-05-21 |