| NPI | 1548599822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA09131700) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 259436) |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2013-12-10 |