| NPI | 1215972179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NJ MA038106) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 149645) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2012-02-27 |