| NPI | 1154764777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 75723) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 075723) |
| 208M00000X Hospitalist (Licence: GA 075723) | |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2021-01-04 |