| NPI | 1356787329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA09918200) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT204241) |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2022-07-21 |