| NPI | 1073602884 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC MD19738) | 
| Additional Taxonomies | 208M00000X Hospitalist (Licence: ME MD22944) | 
| Enumeration Date | 2006-10-11 | 
| Last Update Date | 2019-05-21 |