| NPI | 1770789083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 64674) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 232299) |
| 207R00000X Internal Medicine (Licence: GA 64674) | |
| Enumeration Date | 2007-06-23 |
| Last Update Date | 2017-03-27 |