| NPI | 1033310404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA07999700) |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NJ 25MA07999700) |
| 2084N0600X (Licence: NJ 25MA07999700) | |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2007-11-02 |