| NPI | 1467830810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NJ 25MA11561300) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101264705) |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2024-09-06 |