| NPI | 1154766129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 318779) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A136813) |
| 208000000X Pediatrics (Licence: WA MD60865606) | |
| 208M00000X Hospitalist (Licence: WA MD60865606) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2023-05-16 |