| NPI | 1124293329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: NJ 25MB07273800) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MB07273800) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2024-04-26 |