| NPI | 1518100387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2012026904) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 04-35909) |
| 208M00000X Hospitalist (Licence: KS 04-35909) | |
| 208000000X Pediatrics (Licence: MO 2012026904) | |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2025-12-02 |