| NPI | 1619328739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA10651600) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA10651600) |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2023-09-06 |