NPI | 1578060281 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: NJ 25MA12300000) |
Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CT 69287) |
208000000X Pediatrics (Licence: CT 69287) | |
Enumeration Date | 2018-04-09 |
Last Update Date | 2024-09-30 |