| NPI | 1114210473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 64412) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 64412) |
| 207R00000X Internal Medicine (Licence: OH 35.124132) | |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2024-05-02 |