| NPI | 1023249398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NJ 25MA09733300) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA09733300) |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2024-04-08 |