| NPI | 1285801894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA08527800) |
| Additional Taxonomies | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: NJ 25MA08527800) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2015-06-18 |