| NPI | 1205256591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101262689) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101262689) |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2021-03-25 |