| NPI | 1184625279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD219795) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ MA64045) |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2024-10-26 |