| NPI | 1700839909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D86765) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX L0526) |
| 208000000X Pediatrics (Licence: NH 15725) | |
| 208000000X Pediatrics (Licence: MD D86765) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2021-06-04 |