| NPI | 1679005433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MB11434100) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 303873) |
| 208000000X Pediatrics (Licence: CT 68028) | |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2023-09-12 |