| NPI | 1124476205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ID O-1223) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL UO 4873) |
| 207R00000X Internal Medicine (Licence: FL OS14929) | |
| 207R00000X Internal Medicine (Licence: ID O-1223) | |
| Enumeration Date | 2016-05-30 |
| Last Update Date | 2019-08-29 |