| NPI | 1487746855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA C133872) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ MA60408) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2018-10-18 |