| NPI | 1093109530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NJ 25MA11599800) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA11599800) |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2025-05-01 |