| NPI | 1477599793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.131449) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 043370) |
| 207R00000X Internal Medicine (Licence: NJ 25MA09697300) | |
| 207R00000X Internal Medicine (Licence: NY 225506) | |
| 208000000X Pediatrics (Licence: NY 225506) | |
| 208000000X Pediatrics (Licence: NJ 25MA09697300) | |
| 208000000X Pediatrics (Licence: CT 043370) | |
| 208000000X Pediatrics (Licence: OH 35.131449) | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2023-03-16 |