| NPI | 1790903805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GU M-1829) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GU M-1829) |
| 207R00000X Internal Medicine (Licence: HI MD-17465) | |
| 282N00000X General Acute Care Hospital | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2019-06-24 |