| NPI | 1679740989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA09965600) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 249744) |
| 208000000X Pediatrics (Licence: PA MD456921) | |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2018-03-17 |