| NPI | 1639470529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OR DO168482) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR DO168482) |
| 207Q00000X Family Medicine (Licence: CA 15115) | |
| 207R00000X Internal Medicine (Licence: OR DO168482) | |
| 207R00000X Internal Medicine (Licence: CA 15115) | |
| 208M00000X Hospitalist (Licence: CA 15115) | |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2017-09-14 |