| NPI | 1760831069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 83080) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT210605) |
| 208000000X Pediatrics (Licence: GA 83080) | |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2019-10-10 |