| NPI | 1407836711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA07147500) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NJ 25MA07147500) |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2024-05-23 |