| NPI | 1164470647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA C53552) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA06938700) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2014-03-26 |