| NPI | 1104880038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101223072) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101223072) |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2021-04-08 |