| NPI | 1104956127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD436293) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DE C7-0003524) |
| 208000000X Pediatrics (Licence: DE C10009016) | |
| 208000000X Pediatrics (Licence: NJ MA08814800) | |
| 208D00000X General Practice (Licence: PA MD436293) | |
| 208M00000X Hospitalist (Licence: PA MD436293) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2015-07-13 |