| NPI | 1568583557 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 63413) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME 97547) | 
| 207R00000X Internal Medicine (Licence: GA 63413) | |
| Enumeration Date | 2007-04-03 | 
| Last Update Date | 2021-02-26 |