| NPI | 1104019462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C153168) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA C153168) |
| 208M00000X Hospitalist (Licence: MA 234071) | |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2019-07-24 |