| NPI | 1750675161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL 120486) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL 120486) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2014-07-17 |