| NPI | 1841636867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MO 2017016658) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MO 2017016658) |
| 208M00000X Hospitalist (Licence: MO 2017016658) | |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2025-04-17 |