| NPI | 1457444739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA11821800) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 239155-1) |
| Enumeration Date | 2006-10-01 |
| Last Update Date | 2023-07-25 |