| NPI | 1518907773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA06044100) |
| Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: NJ 25MA06044100) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2011-10-18 |