| NPI | 1225204852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA04517900) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 246362-1) |
| Enumeration Date | 2008-05-04 |
| Last Update Date | 2008-05-05 |