| NPI | 1407261787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: NJ 25MA10077400) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA10077400) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2020-07-17 |