| NPI | 1598268526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MB10341500) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 298839) |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2024-11-27 |