| NPI | 1861887424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL ME171401) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA11179500) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2025-10-23 |