| NPI | 1326076134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD432442) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA08355600) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2021-08-02 |