| NPI | 1255627469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D78050) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MD D78050) |
| 208000000X Pediatrics (Licence: VA 0116023955) | |
| Enumeration Date | 2011-06-26 |
| Last Update Date | 2018-06-25 |