| NPI | 1740251347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 210243) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NJ 25MA06419300) |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2020-06-24 |