| NPI | 1609038074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2011012592) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2011012592) |
| 208D00000X General Practice (Licence: MO 2011012592) | |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2023-06-07 |