| NPI | 1265741276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NJ 25MA10494900) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA10494900) |
| Enumeration Date | 2010-09-26 |
| Last Update Date | 2024-05-02 |