| NPI | 1336769157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301509962) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35.151281) |
| 208000000X Pediatrics (Licence: OH 35.151281) | |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2025-11-25 |