| NPI | 1790274520 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA10790400)  | 
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: NJ 25MA10790400)  | 
| Enumeration Date | 2018-05-07 | 
| Last Update Date | 2024-11-28 |