| NPI | 1629410584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 20A12882) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A12882) |
| 282E00000X (Licence: CA 20A12882) | |
| 282N00000X General Acute Care Hospital (Licence: CA 20A12882) | |
| 283Q00000X Psychiatric Hospital (Licence: CA 20A12882) | |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: CA 20A12882) | |
| 314000000X Skilled Nursing Facility (Licence: CA 20A12882) | |
| 320700000X Residential Treatment Facility, Physical Disabilities (Licence: CA 20A12882) | |
| Enumeration Date | 2013-07-20 |
| Last Update Date | 2022-05-25 |