| NPI | 1912571191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 5101028692) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 34.017342) |
| 208M00000X Hospitalist (Licence: OH 5101028692) | |
| Enumeration Date | 2021-05-13 |
| Last Update Date | 2025-08-18 |