| NPI | 1154783306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 295374) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA11104500) |
| Enumeration Date | 2016-03-27 |
| Last Update Date | 2024-06-27 |