| NPI | 1528260973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 253615) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA08148300) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2018-05-15 |