| NPI | 1538460779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA08830800) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA08830800) |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2011-08-17 |