Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 25MA07673900 | NJ |
NPI | 1043541246 |
---|---|
Provider Name | Dr. Liza Miriam Pina |
First Address | Flemington, NJ 08822-5506 |
Second Address | Flemington, NJ 08822-5506 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2010 |
Last Update Date | 27/01/2010 |