| NPI | 1003470782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MB11498400) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 316983) |
| Enumeration Date | 2019-04-27 |
| Last Update Date | 2022-09-10 |