| NPI | 1194102855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DE C7-0005906) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT209011) |
| 208M00000X Hospitalist (Licence: NJ 25MA10375100) | |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2019-06-05 |