| NPI | 1912085655 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 005286) | 
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA 20A8148) | 
| Enumeration Date | 2006-11-01 | 
| Last Update Date | 2021-03-30 |