| NPI | 1902844061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 067393) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 067393) |
| 208000000X Pediatrics (Licence: MI 4301056716) | |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2018-03-05 |