| NPI | 1336768100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: NJ 25MA13081800) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 323211) |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: NY 323211) | |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2026-05-12 |