| NPI | 1265813562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0068984) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.067151) |
| 208000000X Pediatrics (Licence: WI 69343-21) | |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2022-11-29 |