| NPI | 1649533092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IA MD-43390) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301100977) |
| 208000000X Pediatrics (Licence: OH 35.126275) | |
| 208000000X Pediatrics (Licence: IA MD43390) | |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2023-09-25 |