| NPI | 1003900689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA07711600) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 14,814) |
| 208000000X Pediatrics (Licence: NY 262778) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2018-04-11 |