| NPI | 1124570130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 55614) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX 45739) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2018-06-19 |