| 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 |