| NPI | 1174682603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NJ 25MA07936600) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA07936600) |
| 208000000X Pediatrics (Licence: NY 229496) | |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2024-11-01 |