| NPI | 1215518642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 94503) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35150062) |
| 208000000X Pediatrics (Licence: SC 94503) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 35150062) | |
| 208M00000X Hospitalist (Licence: OH 35150062) | |
| Enumeration Date | 2021-04-17 |
| Last Update Date | 2025-07-11 |