| NPI | 1881008803 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 53870)  | 
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301105853)  | 
| 207R00000X Internal Medicine (Licence: AZ 53870)  | |
| Enumeration Date | 2014-06-18 | 
| Last Update Date | 2021-02-19 |