| NPI | 1659633261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 1683) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 1683) |
| 208D00000X General Practice (Licence: FL OS 11656) | |
| Enumeration Date | 2012-06-10 |
| Last Update Date | 2023-08-18 |