| NPI | 1255530713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KY TP794) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SD 7855) |
| 207R00000X Internal Medicine (Licence: MI 4301090717) | |
| Enumeration Date | 2007-07-15 |
| Last Update Date | 2021-01-04 |