| NPI | 1609456334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX V3473) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OK 7775) |
| 208000000X Pediatrics (Licence: TX V3473) | |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2025-10-13 |