| NPI | 1326266776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA09818200) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 249318) |
| 208000000X Pediatrics (Licence: WV 22719) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2026-04-06 |