| NPI | 1740607282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NJ 25MA10758700) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125064626) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: PA MT212562) | |
| Enumeration Date | 2014-03-22 |
| Last Update Date | 2020-06-24 |