| NPI | 1316059033 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NJ MAO41063) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ MA041063) | 
| Enumeration Date | 2006-08-31 | 
| Last Update Date | 2025-09-11 |