| NPI | 1457667792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA10251700) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125057754) |
| 208000000X Pediatrics (Licence: IA 40758) | |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2021-02-10 |