| NPI | 1891739199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 53741-20) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 107074) |
| 208M00000X Hospitalist (Licence: KS 0424430) | |
| 207R00000X Internal Medicine (Licence: MO 107074) | |
| 207R00000X Internal Medicine (Licence: KS 04-24430) | |
| 208M00000X Hospitalist (Licence: WI 53741-20) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2013-05-21 |