| NPI | 1609286285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: NJ 25MA10782000) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 000000002) |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2022-09-23 |