| NPI | 1659631331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA09641600) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD454160) |
| 208000000X Pediatrics (Licence: PA MT201849) | |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2017-03-15 |