| NPI | 1003805847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MT 12164) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MT 12164) |
| 208000000X Pediatrics (Licence: MT 12164) | |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2021-07-30 |