| NPI | 1558515213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA08449600) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 003257) |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2013-11-19 |