| NPI | 1205151115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: NJ 25MA08786900) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME102782) |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2018-06-20 |