| NPI | 1053511642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2008-00571) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2008-00571) |
| 207R00000X Internal Medicine (Licence: NC 2008-00571) | |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2018-05-08 |