| NPI | 1619322831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080H0002X Pediatrics, Hospice and Palliative Medicine (Licence: NJ 25MA12005200) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: CA A170498) |
| 208000000X Pediatrics (Licence: CA A170498) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 208000000X Pediatrics (Licence: NJ 25MA12005200) | |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2025-10-01 |