| NPI | 1164667929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME121132) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX TX) |
| 208000000X Pediatrics (Licence: NJ 25MA08713600) | |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2024-02-08 |