| NPI | 1053503425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2011026847) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SD 7015) |
| 207R00000X Internal Medicine (Licence: MO 2011026847) | |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2017-01-04 |