| NPI | 1134284698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 209870) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ MA67771) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2010-11-30 |