| NPI | 1316359045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA10824600) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 56651) |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2022-12-01 |