| NPI | 1548393549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MB08209000) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OS022848) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2024-05-20 |