| NPI | 1033409479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NJ 25MA11556400) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA11556400) |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2024-04-09 |