| NPI | 1629245659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 074152) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 074152) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 074152) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 074152) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OR 154520) | |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2018-10-24 |