| NPI | 1760732374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.137388) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.137388) |
| 208000000X Pediatrics (Licence: TX P5957) | |
| 208M00000X Hospitalist (Licence: TX P5957) | |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2021-11-04 |