NPI | 1144743121 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.148362) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35.148362) |
208000000X Pediatrics (Licence: NJ 25MA10808200) | |
Enumeration Date | 2017-07-20 |
Last Update Date | 2025-03-20 |