| NPI | 1093813982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 205973) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA06845600) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2015-05-06 |