| NPI | 1295888642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MP08112600) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 213161) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2022-03-03 |