| NPI | 1003431420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MO 2022049900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2022049900) |
| 208M00000X Hospitalist (Licence: MO 2022049900) | |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2024-04-25 |