| NPI | 1124062310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WY 5772A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WY 5772A) |
| 207R00000X Internal Medicine (Licence: WY 5772A) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2020-12-29 |