| NPI | 1033194576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA0927060) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 205833-1) |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2015-11-18 |