| NPI | 1962997056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA OS023646) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MB11123100) |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2025-07-18 |