| NPI | 1598025538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CT 64532) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA09742600) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2022-09-13 |