| NPI | 1033598370 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: NJ 25MA11164300) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA11164300) | 
| 208000000X Pediatrics (Licence: CO DR.0060198) | |
| Enumeration Date | 2015-05-19 | 
| Last Update Date | 2021-08-20 |