| NPI | 1144743121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.148362) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA10808200) |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2024-07-02 |