| NPI | 1821018334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PP0204X Emergency Medicine Pediatric Emergency Medicine (Licence: NJ 25MA08309900) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD074333) |
| 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: PA MD074333) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2017-03-23 |