| NPI | 1316007792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: NJ 25MA07164000) |
| Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: NJ MA71640) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2021-07-23 |