| NPI | 1477282382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC LL87675) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MB12561700) |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2025-03-12 |