| NPI | 1336203801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NJ 25MA06079500) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NY 197011-1) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2016-12-14 |