| NPI | 1790161156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX R8024) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301113562) |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2024-07-29 |