| NPI | 1942556568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 85408) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 59269) |
| 208M00000X Hospitalist (Licence: MN 59269) | |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2020-06-03 |