| NPI | 1790076420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 74744) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD042250) |
| 208M00000X Hospitalist (Licence: GA 74744) | |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2018-08-23 |