| NPI | 1285292631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA12791900) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT217880) |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2025-12-22 |