NPI | 1700413549 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX U8319) |
Additional Taxonomies | 208D00000X General Practice (Licence: ZZ 11545) |
208M00000X Hospitalist (Licence: TX U8319) | |
Enumeration Date | 2020-03-23 |
Last Update Date | 2024-05-08 |