| NPI | 1295986289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: NJ 25MA08781100) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA08781100) |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2013-08-05 |