| NPI | 1710961719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2005-01004) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NC 2005-01004) |
| 208M00000X Hospitalist (Licence: NC 200501004) | |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2018-05-29 |