| NPI | 1902258957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 86590) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 86590) |
| 207R00000X Internal Medicine (Licence: MO 2016019921) | |
| 208000000X Pediatrics (Licence: MO 2016019921) | |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2020-09-10 |