| NPI | 1609849033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AL 29940) |
| Additional Taxonomies | 174400000X Specialist (Licence: KY 39614) |
| 208M00000X Hospitalist (Licence: KY 39614) | |
| 174400000X Specialist (Licence: AL 29940) | |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2010-08-11 |