| NPI | 1174577241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 192890) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA06147200) |
| Enumeration Date | 2006-05-21 |
| Last Update Date | 2010-12-06 |