| NPI | 1649299934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA05354100) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 25MA05354100) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2023-10-06 |