| NPI | 1265019137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MB12081600) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MB12081600) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2025-07-10 |