| NPI | 1649372079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA07093100) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25 MA070931) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2023-03-07 |