| NPI | 1972940013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A150059) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A150059) |
| 208000000X Pediatrics (Licence: RI LP02837) | |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2019-09-04 |