| NPI | 1982040374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 67619) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 67619) |
| 207R00000X Internal Medicine (Licence: AZ R73864) | |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2022-11-17 |