| NPI | 1093094278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OK 38610) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2014022610) |
| 208D00000X General Practice (Licence: PA MT 199759) | |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2022-03-15 |