| NPI | 1962623454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX N5789) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX N5789) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2018-10-15 |