| NPI | 1033392766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KY TP008) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 5011) |
| 208000000X Pediatrics (Licence: AZ R993) | |
| 208000000X Pediatrics (Licence: IL 036.122521) | |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2024-02-15 |