| NPI | 1003841222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME94076) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 023639) |
| 207R00000X Internal Medicine (Licence: HI MD 14803) | |
| 208000000X Pediatrics (Licence: FL ME94076) | |
| 208000000X Pediatrics (Licence: LA 023639) | |
| 208000000X Pediatrics (Licence: HI MD14803) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2017-09-25 |