| NPI | 1902390206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35146660) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35146660) |
| 208000000X Pediatrics (Licence: GA 010083) | |
| 208000000X Pediatrics (Licence: WA MD61413998) | |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2023-07-28 |