| NPI | 1972670552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 41165) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 41165) |
| 207R00000X Internal Medicine (Licence: TN 41165) | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2011-09-09 |