| NPI | 1093098584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA0915500) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 69255) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2020-08-13 |