| NPI | 1255863742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 02005985A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 1255863742) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2025-03-25 |