| NPI | 1619396629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2021027773) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.134173) |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2021-08-18 |