| NPI | 1225281470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080H0002X Pediatrics, Hospice and Palliative Medicine (Licence: NJ 25MA08431000) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA08431000) |
| Enumeration Date | 2008-11-01 |
| Last Update Date | 2020-11-02 |