| NPI | 1558749390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX T0599) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX T0599) |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2022-04-19 |