| NPI | 1760861801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 2015947) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 20A15947) |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2021-02-17 |