| NPI | 1063143691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MT 171671) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MT 171671) |
| 207R00000X Internal Medicine (Licence: NE 9727) | |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2026-06-24 |