| NPI | 1790123859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 86258) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 86258) |
| 207R00000X Internal Medicine (Licence: WI 60039) | |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2022-08-15 |