| NPI | 1649206962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 064393) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 064393) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TN 41100) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: KY 38635) | |
| 282N00000X General Acute Care Hospital (Licence: GA 64393) | |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2019-09-26 |