| NPI | 1255591533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 49464) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA08584400) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2022-03-23 |