| NPI | 1346700077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 76320) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 73965) |
| 208000000X Pediatrics (Licence: WI 73965) | |
| 208M00000X Hospitalist (Licence: WI 73965) | |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2025-05-05 |