| NPI | 1174943294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA OS020543) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 0000000000000) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2020-06-29 |