| NPI | 1104112440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A127950) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A127950) |
| 207R00000X Internal Medicine (Licence: PA MT199611) | |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2021-10-14 |