| NPI | 1124333455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA 12765) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A12765) |
| 207R00000X Internal Medicine (Licence: MI 5101018747) | |
| 207R00000X Internal Medicine (Licence: OR DO184048) | |
| 208M00000X Hospitalist (Licence: CA 20A12765) | |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2024-08-08 |