| NPI | 1225006208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA09157000) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD071679L) |
| 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: NJ 25MA09157000) | |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2020-12-01 |