| NPI | 1619256492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA OS016931) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA ot014370) |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2017-08-30 |