| NPI | 1477500742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DE C10008222) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA07884200) |
| 208D00000X General Practice (Licence: DE C10008222) | |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2011-11-22 |