| NPI | 1467881904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MN 60620) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 60620) |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2017-10-06 |