| NPI | 1770874992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD H79477) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 62421) |
| 207R00000X Internal Medicine (Licence: PA OS016243) | |
| 208M00000X Hospitalist (Licence: WI 62421) | |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2017-07-31 |