| NPI | 1588083281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 20A20814) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MB10044300) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2024-09-30 |