| NPI | 1073045472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA12681700) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD482806) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2025-07-15 |