| NPI | 1639133812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 269935) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA08838800) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2022-04-25 |