| NPI | 1275592545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NJ 25MA07306900) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 35304) |
| 208000000X Pediatrics (Licence: CT 35304) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NJ 25MA073069) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CT 35304) | |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2021-10-25 |