| NPI | 1164760625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 54834) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: AZ 54834) |
| 282N00000X General Acute Care Hospital | |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2018-06-01 |