| NPI | 1730537861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: NJ 25MA11393200) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208000000X Pediatrics (Licence: NJ 25MA11393200) | |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2022-06-17 |