| NPI | 1467800516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 70753) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 70753) |
| 208000000X Pediatrics (Licence: IA R-10509) | |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2019-07-18 |