| NPI | 1508165374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KY 46869) |
| Additional Taxonomies | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: KY 46869) |
| 208000000X Pediatrics (Licence: KY 46869) | |
| 208M00000X Hospitalist (Licence: AZ 56170) | |
| Enumeration Date | 2011-03-19 |
| Last Update Date | 2020-10-11 |