| NPI | 1790488484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VT VT) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VT VT) |
| 208M00000X Hospitalist (Licence: NY NY) | |
| 208000000X Pediatrics (Licence: NY NY) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-03-23 |
| Last Update Date | 2026-05-08 |