| NPI | 1619938313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA08343500) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 222987) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2025-05-23 |