| NPI | 1629481023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D92770) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208000000X Pediatrics (Licence: NJ 25MA09894300) | |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2021-11-10 |