| NPI | 1528290897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ MA86431) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 249449) |
| Enumeration Date | 2009-08-19 |
| Last Update Date | 2009-08-19 |