| NPI | 1609253079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA11088500) |
| Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: NJ 25MA11088500) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2021-08-03 |