| NPI | 1780608794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME124930) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MT 10155) |
| 207R00000X Internal Medicine (Licence: FL ME124930) | |
| 207R00000X Internal Medicine (Licence: WI 43191) | |
| 207R00000X Internal Medicine (Licence: WA 60074658) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2017-12-18 |