| NPI | 1154528362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD439223) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 77525) |
| 208000000X Pediatrics (Licence: NJ 25MA11241200) | |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2024-06-09 |