| NPI | 1518595032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MB11871200) |
| Additional Taxonomies | 2080P0006X Pediatrics Developmental - Behavioral Pediatrics (Licence: NJ 25MB11871200) |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2023-12-07 |