| NPI | 1255718490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 209850) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 209850) |
| 261QP2300X Clinic/Center, Primary Care (Licence: NC 209850) | |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2021-04-02 |