| NPI | 1588757025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ MA052411) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD039798E) |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: NJ MA052411) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2016-04-25 |