| NPI | 1417900150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA06713900) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ MA067139) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2025-02-10 |