| NPI | 1316257942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MB08782900) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 259294) |
| Enumeration Date | 2010-10-17 |
| Last Update Date | 2015-07-27 |