| NPI | 1932352150 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD152989) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AK 7362) | 
| 207R00000X Internal Medicine (Licence: UT 7154747-1205) | |
| 208M00000X Hospitalist (Licence: AK 7362) | |
| Enumeration Date | 2008-10-31 | 
| Last Update Date | 2020-04-20 |