| NPI | 1285053868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA11483000) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 287390) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2022-05-31 |