| NPI | 1902384530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 74797) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 74797) |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2021-06-21 |