| NPI | 1194792432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD059428L) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA08189300) |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2023-07-13 |