| NPI | 1992879241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO 55567) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101017103) |
| 207R00000X Internal Medicine (Licence: OH 34007312) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2016-11-23 |