| NPI | 1649437385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA09274100) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 255548) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2019-07-23 |