NPI | 1942295076 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NJ 25MA06519800) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA06519800) |
2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NY 213965) | |
Enumeration Date | 2005-09-14 |
Last Update Date | 2024-05-03 |