| NPI | 1902211386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 73811-21) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 73811-21) |
| 207R00000X Internal Medicine (Licence: WA 60757548) | |
| 207R00000X Internal Medicine (Licence: CO 56172) | |
| 207R00000X Internal Medicine (Licence: CO TL.0005254) | |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2022-07-21 |