| NPI | 1609937655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA06830000) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ MA68300) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2021-07-23 |