| NPI | 1275110561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA12162400) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT222875) |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2024-04-03 |