| NPI | 1194803296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ MAO6884500) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A85923) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2011-12-29 |