| NPI | 1063077204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2023009184) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2023009184) |
| 208000000X Pediatrics (Licence: OH 57.249600) | |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: MO 2023009184) | |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2026-06-12 |