| NPI | 1518903590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 75425) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR-49245) |
| 207R00000X Internal Medicine (Licence: NE TEP 6117) | |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2016-09-01 |