| NPI | 1740642933 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 208M00000X Hospitalist (Licence: UT 10518268-1205) | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program | 
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: UT 10518268-1205) | |
| Enumeration Date | 2016-03-25 | 
| Last Update Date | 2022-04-14 |