| NPI | 1144671868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA10558700) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2016021e05) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2021-11-02 |