| NPI | 1598963456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NJ 25MA08190800) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA08190800) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NY 241527) | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2024-04-09 |