| NPI | 1518549294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 332043) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MB12404200) |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2026-06-24 |