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 |