| NPI | 1720441611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 71270) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 71270) |
| 208000000X Pediatrics (Licence: MO 2022041372) | |
| 208000000X Pediatrics (Licence: KS 04-46745) | |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2022-11-08 |