| NPI | 1962663161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 45721) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 45721) |
| 208000000X Pediatrics (Licence: AZ 45721) | |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2017-04-03 |