| NPI | 1740468057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CA C161114) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA C161114) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NJ MA081089) | |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2019-03-08 |