| NPI | 1891059234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2016014758) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2012021649) |
| 207R00000X Internal Medicine (Licence: MO 2012021649) | |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2018-06-20 |