| NPI | 1265414296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD042543E) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA05693000) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2018-08-27 |