| NPI | 1619174992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD00048435) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036117209) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2011-08-08 |