| NPI | 1932340932 |
|---|---|
| Former Name | XXXXXX XXXXXXX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 311766) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101244745) |
| 207R00000X Internal Medicine (Licence: NY 311766) | |
| Enumeration Date | 2009-03-20 |
| Last Update Date | 2022-11-10 |