| NPI | 1396919510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME136801) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA10977000) |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: NJ 25MA10977000) | |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2024-04-12 |