| NPI | 1902286537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2018011855) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2018011855) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MO 2018011855) | |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2019-03-28 |