| NPI | 1699041343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA09934400) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D79372) |
| 208000000X Pediatrics (Licence: NJ 25MA09934400) | |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2020-03-09 |