| NPI | 1962653816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 63076) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: GA 063076) |
| 207R00000X Internal Medicine (Licence: GA 063076) | |
| 207R00000X Internal Medicine (Licence: PA MT 188545) | |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2019-12-16 |