NPI | 1992951347 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A104439) |
Additional Taxonomies | 208600000X Surgery (Licence: CA A104439) |
208M00000X Hospitalist (Licence: NV 16152) | |
Enumeration Date | 2008-08-15 |
Last Update Date | 2020-11-12 |