| NPI | 1285208199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA12338300) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 33864001) |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2025-10-09 |