| NPI | 1790346138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 76790) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 76790) |
| 207R00000X Internal Medicine (Licence: OH 57.247166) | |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2023-03-22 |