| NPI | 1376801498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0099279) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA10425900) |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2024-09-16 |