| NPI | 1083235584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA12479800) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036.167392) |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2025-05-29 |