| NPI | 1700963519 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208M00000X Hospitalist (Licence: UT 10253525-1205) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 29540) | 
| 208M00000X Hospitalist (Licence: AZ 29540) | |
| Enumeration Date | 2006-11-01 | 
| Last Update Date | 2018-04-17 |