| NPI | 1215270020 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D85102)  | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D0085102)  | 
| 207R00000X Internal Medicine (Licence: MD D85102)  | |
| Enumeration Date | 2013-03-29 | 
| Last Update Date | 2020-05-13 |