| NPI | 1164835294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KY TP119) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY TP119) |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2017-09-07 |