| NPI | 1205255163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 65208-20) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 65208-20) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: WI 65208-20) | |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2021-10-06 |