| NPI | 1053706697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA11450400) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 286177) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2022-10-25 |