| NPI | 1245545474 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 50227)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 27444)  | 
| 207R00000X Internal Medicine (Licence: AZ 50227)  | |
| Enumeration Date | 2010-08-12 | 
| Last Update Date | 2015-10-21 |