| NPI | 1225012057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MN 57570) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 45819) |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2019-12-26 |