| NPI | 1962853556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX R6958) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME134931) |
| 208M00000X Hospitalist (Licence: TX R6958) | |
| 282NC2000X General Acute Care Hospital, Children | |
| Enumeration Date | 2016-06-25 |
| Last Update Date | 2022-09-14 |