| NPI | 1205091485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2011020141) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2011020141) |
| 208000000X Pediatrics (Licence: KS 04-35925) | |
| 207R00000X Internal Medicine (Licence: KS 04-35925) | |
| 208000000X Pediatrics (Licence: MO 2011020141) | |
| Enumeration Date | 2008-07-27 |
| Last Update Date | 2017-04-20 |