| NPI | 1013278043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.155679) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 61323) |
| 171000000X Military Health Care Provider | |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2026-05-12 |