| NPI | 1396799573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME156641) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA07957100) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2026-08-13 |