| NPI | 1508840380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101245322) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00045994) |
| 207R00000X Internal Medicine (Licence: CT 047932) | |
| 208M00000X Hospitalist (Licence: CT 047932) | |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2020-10-05 |