| NPI | 1790164135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 279140) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 279140) |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2019-07-18 |