NPI | 1124345749 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME122822) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME122822) |
208000000X Pediatrics (Licence: FL ME122822) | |
Enumeration Date | 2010-04-21 |
Last Update Date | 2021-04-26 |