| NPI | 1386831337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MB1052050) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 258075) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2025-02-09 |