| NPI | 1144245960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NE 28227) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ ma70905) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-10-07 |