| NPI | 1255762654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OR MD173900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 26081) |
| 207R00000X Internal Medicine (Licence: FL ME166336) | |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2026-07-10 |