| NPI | 1659403319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD438482) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA08628900) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2022-09-14 |