| NPI | 1235167594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA09853000) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 240050-1) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2022-01-21 |