| NPI | 1912575028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ND 21090) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 9036) |
| 208000000X Pediatrics (Licence: ND 21090) | |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2024-07-30 |