| NPI | 1659598225 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2012011183) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036119834) | 
| 207RA0000X Internal Medicine, Adolescent Medicine (Licence: NE 5158) | |
| 208M00000X Hospitalist (Licence: IL 036119834) | |
| 208M00000X Hospitalist (Licence: MO 2012011183) | |
| Enumeration Date | 2007-04-18 | 
| Last Update Date | 2019-10-03 |