| NPI | 1063669125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME120500) |
| Additional Taxonomies | 207RS0010X Internal Medicine Sports Medicine (Licence: IN 99048726A) |
| 208M00000X Hospitalist (Licence: FL ME120500) | |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2024-11-22 |