| NPI | 1700923224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 25830) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: AL 25830) |
| 207R00000X Internal Medicine (Licence: GA 061659) | |
| 208M00000X Hospitalist (Licence: GA 061659) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2015-06-07 |