NPI | 1285126417 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: TX T4240) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.143518) |
208000000X Pediatrics (Licence: OK 33996) | |
208000000X Pediatrics (Licence: TX T4240) | |
Enumeration Date | 2018-06-04 |
Last Update Date | 2022-09-06 |