| NPI | 1003278482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 314969-01) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MB10546800) |
| 207P00000X Emergency Medicine (Licence: NJ 25MB10546800) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2023-11-02 |