| NPI | 1013021435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 106436) |
| Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: MO 106436) |
| 208M00000X Hospitalist (Licence: MO 106436) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2017-03-14 |