| NPI | 1093109647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.138693) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.138693) |
| 208000000X Pediatrics (Licence: IL 036.145249) | |
| Enumeration Date | 2015-03-21 |
| Last Update Date | 2022-05-16 |