| NPI | 1396009684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NJ 25MB09131100) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MB09131100) |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2024-10-01 |