| NPI | 1093816266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MI 5101013599) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: FL OS 8636) |
| 207R00000X Internal Medicine (Licence: MI 5101013599) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-09-04 |