| NPI | 1013153238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NJ 25MA08522300) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: NY 286552) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NE 7125) | |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2023-12-06 |