| NPI | 1508445073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MB13081900) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA 1508445073) |
| 208000000X Pediatrics (Licence: NY 328145) | |
| Enumeration Date | 2021-04-03 |
| Last Update Date | 2026-07-07 |