| NPI | 1811968035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KS 04-29722) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2001013785) |
| 207K00000X Allergy & Immunology (Licence: MO 2001013785) | |
| 207Q00000X Family Medicine (Licence: MO 2001013785) | |
| 207Q00000X Family Medicine (Licence: KS 04-29722) | |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2014-06-10 |