| NPI | 1700821402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine Pediatric Emergency Medicine (Licence: NY 235808) |
| Additional Taxonomies | 207PP0204X Emergency Medicine Pediatric Emergency Medicine (Licence: NJ 25MAO7973400) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2023-04-07 |