| NPI | 1497026496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NJ 25MA04671100) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA04671100) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NJ 25MA04671100) | |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2016-11-02 |