| NPI | 1386179513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ P24-01291) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 65880) |
| 208000000X Pediatrics (Licence: AL 45942) | |
| 208000000X Pediatrics (Licence: PA MD487082C) | |
| 208D00000X General Practice (Licence: TN 65880) | |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2024-12-31 |