| NPI | 1104920776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2011037090) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036082563) |
| 208000000X Pediatrics (Licence: MO 2011037090) | |
| 208M00000X Hospitalist (Licence: IL 036082563) | |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2021-02-24 |