| NPI | 1962604512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KS 04-34985) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA PGY.H27114) |
| 207R00000X Internal Medicine (Licence: MD D67428) | |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2014-05-21 |