| NPI | 1629565742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301504946) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35154692) |
| 208000000X Pediatrics (Licence: OH 35154692) | |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2025-10-02 |