| NPI | 1255405874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 202821) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MB06152100) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-06-19 |