| NPI | 1124251541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101264522) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ND 13492) |
| 207R00000X Internal Medicine (Licence: MN 55137) | |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2018-08-02 |