| NPI | 1265468243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 217561) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ MA068681) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2021-03-19 |