| NPI | 1265692693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101252909) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC #MD038876) |
| 208000000X Pediatrics (Licence: MD D72333) | |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2018-06-13 |