| NPI | 1104072693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA08493300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08493300) |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2016-04-22 |