| NPI | 1255891818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA11479600) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ P21-00303) |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2025-07-23 |