| NPI | 1679792493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 23148) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WV 23148) |
| 208M00000X Hospitalist (Licence: WV 23148) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2022-08-04 |