| NPI | 1174055628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301509175) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 70083) |
| 208000000X Pediatrics (Licence: TN 65203) | |
| 208M00000X Hospitalist (Licence: TN 65203) | |
| 207P00000X Emergency Medicine (Licence: TN 65203) | |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2023-10-19 |