| NPI | 1154613289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NV 16552) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NV 16552) |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: NV 16552) | |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: GA 072391) | |
| Enumeration Date | 2011-05-08 |
| Last Update Date | 2026-08-15 |