| NPI | 1083956478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH MD458197) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NJ 25MA10288700) |
| Enumeration Date | 2013-03-23 |
| Last Update Date | 2019-02-20 |