| NPI | 1093029282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KY TP736) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301106258) |
| 207R00000X Internal Medicine (Licence: TX BP10036943) | |
| 208M00000X Hospitalist (Licence: NE 27438) | |
| 208M00000X Hospitalist (Licence: MI 4301106258) | |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2018-06-14 |