| NPI | 1275579609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ MA60881) |
| 208000000X Pediatrics (Licence: GA 040376) | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2007-07-08 |