| NPI | 1134202831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA08243500) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 215664) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2009-08-27 |