NPI | 1184112781 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NJ 25MA10325100) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA10325100) |
Enumeration Date | 2018-04-29 |
Last Update Date | 2024-12-27 |