| NPI | 1154784809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 84688) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 84688) |
| 208M00000X Hospitalist (Licence: IL 036-149007) | |
| 207R00000X Internal Medicine (Licence: IL 036-149007) | |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2024-03-01 |