| NPI | 1225312705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25ma10445400) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 268484) |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2018-11-13 |