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 |