| NPI | 1780843912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2014-00589) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 55119) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NC 2014-00589) | |
| 208000000X Pediatrics (Licence: NC 2014-00589) | |
| 2080H0002X Pediatrics, Hospice and Palliative Medicine (Licence: NC 2014-00589) | |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2017-04-06 |