| NPI | 1376549196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ MA053793) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA05379300) |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2020-09-14 |