| NPI | 1083805022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 39076) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MAO2253100) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2023-03-07 |