| NPI | 1912931940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: LA 026404) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 026404) |
| 208000000X Pediatrics (Licence: LA 026404) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2021-01-08 |