| NPI | 1346736147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2021012125) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2021012125) |
| 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: MO 2021012125) | |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2021-11-15 |