| NPI | 1619160397 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 065300) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT188913) | 
| 207R00000X Internal Medicine (Licence: GA 065300) | |
| Enumeration Date | 2007-08-25 | 
| Last Update Date | 2019-10-31 |