| NPI | 1093774663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0065980) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 235562) |
| 208000000X Pediatrics (Licence: NJ 25MA07962200) | |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2022-10-13 |