| NPI | 1104989219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NJ 25MA08156600) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA08156600) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2024-04-10 |