| NPI | 1851317093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KY 48847) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2004006976) |
| 207R00000X Internal Medicine (Licence: MO 2004006976) | |
| 207R00000X Internal Medicine (Licence: NC 2009-01377) | |
| 207R00000X Internal Medicine (Licence: SC 36754) | |
| 208M00000X Hospitalist (Licence: SC 36754) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2019-08-27 |