| NPI | 1386947422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 257931) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NJ 25MA09361300) |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2014-10-23 |