| NPI | 1013015809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 240997) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA12898800) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2025-12-26 |