| NPI | 1730575846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 009328) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 009328) |
| 208000000X Pediatrics (Licence: IA DO-05254) | |
| 208M00000X Hospitalist (Licence: IA DO-05254) | |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2022-06-08 |