| 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 |