| NPI | 1073537247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA08827600) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 230566) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2025-06-15 |