| NPI | 1063678456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: HI 15871) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI 15871) |
| 208M00000X Hospitalist (Licence: HI MD-15871) | |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2022-10-07 |