| NPI | 1104575059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 5026) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WV 5026) |
| 208M00000X Hospitalist (Licence: WV 5026) | |
| Enumeration Date | 2022-03-19 |
| Last Update Date | 2026-07-23 |