| NPI | 1346735255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA12255400) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL 26959) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2024-07-03 |