| NPI | 1013109925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA08785700) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 626888) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2012-03-23 |