| NPI | 1699156109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0057619) |
| Additional Taxonomies | 171000000X Military Health Care Provider |
| 208000000X Pediatrics (Licence: CO DR.0057619) | |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2024-07-26 |