| NPI | 1790021848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CT 64500) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 267993) |
| 207R00000X Internal Medicine (Licence: CA A123379) | |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2020-01-17 |