| NPI | 1124255369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 0445721) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 47678) |
| 208000000X Pediatrics (Licence: AZ 47678) | |
| 208M00000X Hospitalist (Licence: AZ 47678) | |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2022-11-03 |