| NPI | 1396156931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA09909100) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD465363) |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2025-10-10 |