| NPI | 1821351131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 073927) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: GA 73927) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2019-10-14 |