| NPI | 1205972957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX T2865) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A76652) |
| 208000000X Pediatrics (Licence: FL ME148678) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA A76652) | |
| 208M00000X Hospitalist (Licence: CA A76652) | |
| 208M00000X Hospitalist (Licence: FL ME148678) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2023-08-23 |