| NPI | 1821355173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 81728) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 081728) |
| 207R00000X Internal Medicine (Licence: NC 2013-02113) | |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2022-07-21 |