| NPI | 1164798088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2015020990) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2015020990) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MO 2015020990) | |
| Enumeration Date | 2012-03-25 |
| Last Update Date | 2019-10-08 |