| NPI | 1700898491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A97193) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A97193) |
| 208000000X Pediatrics (Licence: MN 48220) | |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2021-02-16 |