| NPI | 1790841641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 37607) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 137607) |
| 208000000X Pediatrics (Licence: IN 01060806a) | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2021-08-18 |