| NPI | 1578565040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: NJ MA08411800) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ MA08411800) |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2017-01-26 |