| NPI | 1003851247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MN 50199) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 103342) |
| 207R00000X Internal Medicine (Licence: MN 50199) | |
| 207R00000X Internal Medicine (Licence: RI MD11761) | |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2020-10-06 |