| NPI | 1174059133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 91995) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 88462) |
| 208000000X Pediatrics (Licence: GA 91995) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 227747) | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2023-03-08 |