| NPI | 1689671562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 21149) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 21149) |
| 208D00000X General Practice (Licence: SC 21149) | |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2021-06-30 |