| NPI | 1306360540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MB10805500) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MB10805500) |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2024-03-18 |