| NPI | 1033268669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA09196200) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 241515-1) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2023-05-25 |