| NPI | 1306853783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA08593800) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD059050L) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2019-04-11 |