| NPI | 1134386774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: NY 245725) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: NJ 25MA09412500) |
| 208000000X Pediatrics (Licence: NJ 25MA09412500) | |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2024-04-09 |