| NPI | 1184003634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD466014) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA10328600) |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2024-04-03 |