| NPI | 1386859395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA09572300) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 003121) |
| Enumeration Date | 2007-05-12 |
| Last Update Date | 2018-04-27 |