| NPI | 1366706731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TN MD55817) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX Q4818) |
| 208000000X Pediatrics (Licence: MS T-2587) | |
| 208000000X Pediatrics (Licence: TN MD55817) | |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2024-01-10 |