| NPI | 1265685895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA09117100) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 264320) |
| 208000000X Pediatrics (Licence: TX M7500) | |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2013-03-21 |