| NPI | 1912128364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 40139) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 77377) |
| 207R00000X Internal Medicine (Licence: AZ 40139) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2015-10-06 |