| NPI | 1679955306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 20A19116) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 20A19116) |
| 208000000X Pediatrics (Licence: TX S2125) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2022-02-25 |