| NPI | 1659534733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA10977600) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ R70600) |
| 208000000X Pediatrics (Licence: AZ R70600) | |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2021-09-15 |