| NPI | 1508984147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA09042100) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 234621) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-01-27 |