| NPI | 1386089522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX S7602) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 28360) |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2021-05-04 |