| NPI | 1407155922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MN 58329) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 58329) |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2019-01-03 |