| NPI | 1073685095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX V2579) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 214610) |
| 208000000X Pediatrics (Licence: NJ 25MA07829800) | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2025-05-08 |