| NPI | 1477780021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MB09124900) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 263560) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2015-06-17 |