| NPI | 1902875362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 55777) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX L4938) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2020-10-29 |