NPI | 1255479580 |
---|---|
Former Name | KATHERINE BENEVENIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NJ 25MA04692600) |
Enumeration Date | 2007-02-01 |
Last Update Date | 2022-01-27 |