| NPI | 1376534172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D0071755) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101235298) |
| 208000000X Pediatrics (Licence: VA 0101235298) | |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2013-10-20 |