| NPI | 1114011095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ ma56813) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NJ ma56813) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2025-09-11 |