| NPI | 1649699943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA11827800) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301114423) |
| 208D00000X General Practice (Licence: PA MD459581) | |
| 208M00000X Hospitalist (Licence: DE C10012246) | |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2024-04-26 |