NPI | 1215383658 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NJ 25MA11887900) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 297727) |
208000000X Pediatrics (Licence: RI MD17019) | |
2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: RI MD17019) | |
Enumeration Date | 2016-05-04 |
Last Update Date | 2023-06-14 |