| NPI | 1235628850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MB11903400) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC DO035019) |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2023-07-05 |