| NPI | 1164622486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO CDRH.0054586) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 52353-20) |
| 208000000X Pediatrics (Licence: MN 68626) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2021-08-27 |