NPI | 1972062792 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CO 067935) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CO 067935) |
208M00000X Hospitalist (Licence: IL 036167088) | |
Enumeration Date | 2019-03-19 |
Last Update Date | 2024-02-01 |