| NPI | 1659442226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA121796000) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0103513) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2025-05-29 |