| NPI | 1518076439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA MD.206661) |
| Additional Taxonomies | 171W00000X Contractor (Licence: SC 28282) |
| 208M00000X Hospitalist (Licence: GA 055219) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2015-08-13 |