| NPI | 1770894040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: PA MD452279) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 257564-1) |
| 208000000X Pediatrics (Licence: PA MD452279) | |
| 208000000X Pediatrics (Licence: NJ 25MA09529000) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NJ 25MA09529000) | |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2014-10-22 |