| NPI | 1104192608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 57655) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 57655) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2020-10-15 |