| 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 |