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 |