| NPI | 1164585402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D0068769) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D008769) |
| 208000000X Pediatrics (Licence: OH 35084152) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2021-04-22 |