| NPI | 1609820844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA04462700) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 1487371) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2013-07-05 |