NPI | 1225452964 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NJ 25MA09430900) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA09430900) |
Enumeration Date | 2014-02-18 |
Last Update Date | 2024-06-25 |