| NPI | 1366442659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA07725200) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NM MD20040346) |
| 208000000X Pediatrics (Licence: NY 232426-1) | |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2010-11-22 |