| NPI | 1982789129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KY 42252) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 42252) |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: KY 42252) | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2018-12-07 |