| NPI | 1851824700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 81010) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MS 34004) |
| 207RS0010X Internal Medicine, Sports Medicine (Licence: TN 4462) | |
| 207RS0010X Internal Medicine, Sports Medicine (Licence: WV 4484) | |
| 207RS0010X Internal Medicine, Sports Medicine (Licence: OH 34.015562) | |
| 208M00000X Hospitalist (Licence: MN 76481) | |
| 207RS0010X Internal Medicine, Sports Medicine (Licence: IN 020008683A) | |
| 207RS0010X Internal Medicine, Sports Medicine (Licence: KY C4601) | |
| 207RS0010X Internal Medicine, Sports Medicine (Licence: GA 90024) | |
| 207RS0010X Internal Medicine, Sports Medicine (Licence: AL 4392) | |
| 207RS0010X Internal Medicine, Sports Medicine (Licence: KS 05-50567) | |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2026-03-30 |