| NPI | 1851400352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX M4967) |
| Additional Taxonomies | 208D00000X General Practice (Licence: TX 41454) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2019-05-31 |