| NPI | 1588638522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA08156300) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101226159) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2025-02-25 |