| NPI | 1083731434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101260714) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DE C7-0003292) |
| 208000000X Pediatrics (Licence: PA MT186689) | |
| 208000000X Pediatrics (Licence: PA MD438772) | |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2018-07-31 |