| NPI | 1295939007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 29959) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 29959) |
| 207V00000X Obstetrics & Gynecology (Licence: SC 29959) | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2021-06-24 |