| NPI | 1093725616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0075515) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301070491) |
| 208000000X Pediatrics (Licence: NJ 25MA08917600) | |
| 208M00000X Hospitalist (Licence: MI 4301070491) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2019-11-25 |